Exam 1 Flashcards

1
Q

Provide basic legal protection for those who assisted person who is injured or in danger

A

Good Samaritan act

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2
Q

Federal law that guarantees certain employees up to 12 work weeks of unpaid leave each year with no threat of job loss

A

FMLA

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3
Q

What are the benefits of breast-feeding for the baby?

A

Contains antibodies that help your baby fight off viruses and bacteria
(Increases immunity )

Increases IQ

Lowers your babies risk of having asthma or allergies

Have fewer ear infections , Respiratory illness, diarrhea

Reduces SIDS, air ingestion, and obesity

No contamination

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4
Q

The process of becoming stronger and more confident, especially in controlling one’s life and claiming ones right

A

Empowerment

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5
Q

6 rights to med administration

A

Right person, dose , time, route, documentation, drug

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6
Q

Normal vital signs for newborn

Infant 1-12 m

Toddler 1-3 y

Preschooler 3-5y

School age 6-12

Adolescents- 13 +

A

Fetus : 110-160 pulse

Infant: p- 110-160 R- 36-60 T-96.8-99.0

Toddlers: p- 90-140 R-25-40

Children- p- 60-100 R- 16-30

Teens- p- 60-100 R- 12-20 (athletes lower) bp- 90-120/50-80

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7
Q

What does folic acid do for pregnancy ?

A

Helps prevent neural tube defects serious birth defects of spinal cord and brain

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8
Q

Minors are no longer considered to be under the care and control of parents — instead they take responsibility for their own care

Varys from state to state

A

Emancipated minor

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9
Q

Born too early or to have low birth weight

Can cause SIDS

A

Smoking during pregnancy

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10
Q

May have problems to baby’s vision , hearing , memory, attention span, abilities to learn and communicate due to this

A

Fetal alcohol syndrome

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11
Q

Therapeutic communication in toddlers /children

A

Speak honestly , allow choices as appropriate (guided choices)

Use simple concrete terms

Use play or story telling , games to communicate

Transitional objects or third party approaches

Allow to express their fears and concerns

Give opportunity to talk with out parent

Setting that enhances communication

Make sure they feel comfortable

Communicate appropriately for age and development

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12
Q

Pain assesment for children ?

A

FACES scale (Wong baker pain assesment scale)

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13
Q

Vaccine for HPV and schedule

A

Gardasil

2 doses 6-12 months apart before 15 years old

Can prevent genital cancer /warts

CDC recommends 3 dose series from 11-26

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14
Q

Pain fever medication for children

A

Tylenol

NSAIDs

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15
Q

Vaccine schedule for children

A

Infants 6 months - 9 years

Hep b- birth-one dose. 1-2months- 2doses 6- 18 months 3 doses

Rotavirus- 2-6 months

Tdap, tetanus-2-6months, 15-18months, 4-6 Years

Hib - 2-6 months, 12-15 months

PCV- 2-6m, 12-15m

IPV-2-18m, 4-6years

Influenza - 6 months - annual

Mmr- 12-15m 4-6 years

Varicella - 12-15m, 4-6 years

HepA- 12-23months

HPV - 11-12 years 3 doses

Mennicoccil- 11-12 years, 16-18 years

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16
Q

Benefits of vaccinating children

A

Immunizations can save your life

Vaccination is very safe and effective

Immunization protects others you care about

Immunizations can save your family time and money

Immunization protects future generations

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17
Q

IM injection site math probs

A

Ventril laterus (thigh) for infants

Deltoid for older children

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18
Q

Healthy ppl 2020 - strategies to reduce risks - maternal, infant, and children

A

Early identification of potentiontal risks or harm to fetus

Treatment of development decreases disabilities and other health conditions and can prevent death .

Appropriate meds to take

Healthy diet/ exercise to prevent complications

Folic acid prior to pregnancy as well as during

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19
Q

What age can an infant sit steadily alone ?

A

6-8 months

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20
Q

What to know about the skin medications for infants ?

A

Baby’s absorb too much

Pediatric pts have thin stratum carneum that allows topical medications to be absorbed easily

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21
Q

What to do with temper tantrums and toddlers ?

A

Ignore them- they are normal

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22
Q

Car safety for an 18 month 24 pound infant ?

A

Rear face middle of back seat

23
Q

Erickson’s stages of development

Infant - 18 m
18-3-
3-5
5-13
13-21
21-39
40-65
65 and older
A

Trust vs mistrust

Autonomy vs shame and doubt

Initiative vs guilt

Industry vs inferiority

Identity vs role confusion

Intimacy vs isolation

Generativity vs stagenation

Ego integrity vs despair

24
Q

Eye sight function of new born ?

A

8-12 inches away. Nearsighted blurry shapes 20/200 20/400

25
Q

Newborns immune system ?

A

Have immunity from mother for the first 3 months. Then they begin to develop on their own

26
Q

Excessive admiration for someone. Ex. Behaved better for company then parents

A

Hero worship

27
Q

What position to place new born on ?

A

Sleep on back . Supine

28
Q

How much should an infant weigh by 6 months ?

A

13-20 pounds

They double their weight in first 6 months

29
Q

Why Sensory motor stimulation is important in first year of development ?

Activities to recommend?

A

Because for a baby to fully develop all five senses should be stimulated .

0-2m cuddle rock, 3-5 cradle swing , 6-9 m feel textures , 10-12 push pull toys and activity boxes

30
Q

Benefits of breast feeding for mom?

A

Uses 200-500 cal/day

Decrease hemorrhage risk, uterine, breast, and ovarian cancers

Doesn’t allow others to feed baby

Hard to maintain supply /cost

31
Q

Who is breast feeding recommended by and for how long?

A

One year minimum

ASG, WHO, AAP

32
Q

How can you make patients feel empowered in care?

A

Make them feel capable, welcome, and include family in care, make decisions in care, accommodations to family

33
Q

Nursing actions regarding confidentiality and children ?

A

Develop trust

Tell them they must tell parents about care unless STI/pregnancy/abortion/drug abuse/contraceptive care

Know custodial issues ( who to give info to)

34
Q

Drug categories

A-X

A

A- A-ok to take

B- be mindful

C- see your dr first for other options (consider risks to fetus)

D- don’t take w out dr consent (only given in life threatening situations)

X- x-nay on the drug big NO

35
Q

Teen suicide nursing actions/ interventions?

A

What’s your plan ?

Who are your friends in school ?

What are your fav classes

What are your hobbies?

What makes you upset?

(Ask about social life)

36
Q

When do infants sit alone?

A

6-8 months

37
Q

Best way to prevent infection?

A

Hand washing

38
Q

Risk for ear infections?

A

Cleft palate

Evastachian tunes are shorter, wider, straighter

Ear canal is more pliable cold flu or allergy

39
Q

Medication administration to infant

A

Support/ elevate head shoulders

Press chin with thumb to open mouth

Slowly insert med along the side of infants mouth

Allow time for swallowing

Give in vastus lateralis /thigh

Never give in butt

No more than 1ml

Soothe them when done

40
Q

Appropriate tasks by age?

A

Toddler can make bed/- simple house hold chores

Preschoolers - setting table , sorting colors in laundry , pick up toys

School aged- loading washer, dryer , take out trash , care for pets

Teen- mow/rake the lawn

41
Q

How many servings of food to offer toddlers?

A

1 table spoon per age

42
Q

Appropriate interventions when dealing with aggression/ tantrums in children?

A

Ignore tantrum if actions are not dangerous to child’s safety

43
Q

Car seat safety by age/weight ?

A

Rear facing infant-2 years

Front facing 2-5 years 20-30 pounds

5 years booster seat 40 pounds

4ft 9 inches tall for seat belt

44
Q

Children and sleep- what’s recommended ?

A

Toddlers - 11-14 hours

Preschoolers - 10-13

School aged- 10-13

8-12 hours adolescentents

Teens-8-10

Need regularity, naps , and bedtimes

45
Q

Normal thinking in children age (preschool vs school aged)

A

Preschoolers - animism and magical thinking, speaks honestly

School aged - wants explanations and reasons why

Reassurance needed and concerned about body integrity

46
Q

Normal development for 18 months?

A

Walking

Undress

Drink from cup

Eat with spoon

Knows simple things and says several words

Shakes head yes or no

Temper tantrums

47
Q

Safety hazards for toddlers ?

A

Small pieces on toys

Look for warnings on toys

Poisoning , falls, suffocation’s, aspiration, motor vehicle injury, burns.

Keep hazardous house hold items out of reach such as laundry detergent/chemicals /sharp objects /knifes

48
Q

Normal growth for teen boys vs girls?

A

Girls go through puberty sooner Than boys

Boys will catch up around 9th grade

49
Q

Eating patterns in teen boys and girls

A

They eat more because they are going through puberty

50
Q

Preventing childhood obesity?

A

Encourage play, limit tv, junk food, do not make them eat when not hungry, do not offer dessert as reward , encourage water intake , no fast food

51
Q

Children and nutrition?

A

Encourage to eat all types of foods - they eat what you put in front of them.

Do not only give them one type of food if picky eater due to improper nutrition

Encourage to drink water

52
Q

Discussion with preschoolers ?

A

Use simple words when communicating

Show respect and encouragement - praise

Turn taking ?

53
Q

Med administration to children ?

A

Recline , our on back of tounge, be patient , don’t mix in juice or water, don’t restrain, reward if possible